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General NPI Number Information
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NPI Number | 1235511569
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Entity Type | Organization
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Legal Business Name | PARISKO INC
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 388 E MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-2914
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Country | US
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Telephone | 203-433-5660
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Fax | 203-648-4184
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Provider Business Mailing Address
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Address Line | 388 E MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-2914
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Country | US
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Telephone | 203-433-5660
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Fax | 203-648-4184
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK J RISKO JR.
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Credential |
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Telephone | 203-433-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HCA.0000995
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License Number State | CT
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